| NPI | 1316135809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 604702) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 604702) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 604702) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: TX 604702) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 604702) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2022-07-22 |